[1]于长路,纪盛章,贾科峰,等. 不同栓塞剂治疗肝巨大海绵状血管瘤的疗效[J].介入放射学杂志,2014,(06):525-527.
 YU Chang- lu,JI Sheng- zhang,JIA Ke- feng,et al. Therapeutic effect of interventional embolization for giant hepatic cavernous hemangiomas: comparison of different embolic agents[J].journal interventional radiology,2014,(06):525-527.
点击复制

 不同栓塞剂治疗肝巨大海绵状血管瘤的疗效()

PDF下载中关闭

分享到:

《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2014年06期
页码:
525-527
栏目:
临床研究
出版日期:
2014-07-05

文章信息/Info

Title:
 Therapeutic effect of interventional embolization for giant hepatic cavernous hemangiomas: comparison of different embolic agents
作者:
 于长路 纪盛章 贾科峰 王 森 孙 诚
Author(s):
 YU Chang- lu JI Sheng- zhang JIA Ke- feng WANG Sen SUN Cheng.
 The Graduate School of Tianjin Medical University, Tianjin 300070, China
关键词:
 【关键词】 肝海绵状血管瘤 介入治疗 栓塞
文献标志码:
A
摘要:
 【摘要】 目的 探讨不同栓塞剂治疗肝巨大海绵状血管瘤中的疗效。方法 2008—2010年经诊断明确的肝海绵状血管瘤30例,行介入栓塞治疗,根据栓塞剂不同分为两组,即平阳霉素碘油乳剂(PLE)联合海藻酸钠微球(KMG)组(A组,15例)及(PLE)组(B组,15例),术后1、3、6、12 个月进行CT 检查以评价疗效。结果 两组术后成功率均达100%,A、B两组所用PLE剂量分别为(10.9 ± 5.2)ml、(11.4 ± 4.9)ml,两者差异无统计学意义(P > 0.05),术后第1、3、6个月复查CT,A组瘤体缩小率在50%以上者为分别为9、11、14例,B组分别为0、3、5例(P < 0.05)。术后1周A组患者疼痛较B组明显,差异有统计学意义(P < 0.05),术后两组部分患者有轻度肝功能异常,主要表现在转氨酶升高,对症处理后恢复正常,经问卷随访A组满意度较B组高。结论 经肝动脉注入PLE治疗肝巨大血管瘤安全、有效, PLE联合KMG组瘤体缩小主要集中在术后第1、3个月内,见效快,但疼痛较PLE组明显。

参考文献/References:

 [1] Li CR, Wang T, Chang JP, et al. Pingyangmycin- lipiodol emulsion embolization in treating cavernous hemangioma of liver[J]. Chin JMed Imaging Technol, 2004, 20: 274 - 276.
[2] Schnelldorfer T, Ware AL, Smoot R, et al. Management of giant hemangioma of the liver: resection versus observation[J]. J Am Coll Surg, 2010, 211: 724 - 730.
[3] 李志强, 赵 峰, 刘景峰. 不同栓塞方法在肝血管瘤介入治疗中疗效观察[J]. 南方医科大学学报, 2010, 30: 1736 - 1737.
[4] 曾庆乐, 陈 勇, 赵剑波, 等. 肝海绵状血管瘤的动脉造影分型及介入治疗[J]. 中国医学影像学杂志, 2009, 17: 379 - 380.
[5] 蒋旭远, 徐 克. 平阳霉素碘油乳剂动脉栓塞治疗肝血管瘤的中远期疗效评价[J]. 介入放射学杂志, 2012, 21: 31 - 34.
[6] 朱 轲, 曹建民. 选择性肝动脉造影联合栓塞治疗肝血管瘤[J]. 介入放射学杂志, 2010, 19: 985 - 987.
[7] 孔 鹏, 鹿化伟, 王家平, 等. 平阳霉素碘油乳剂超选择硬化性栓塞治疗肝血管瘤[J]. 介入放射学杂志, 2011, 20: 123 - 126.
[8] 肖晋昌, 祖茂衡, 徐 浩, 等. 平阳霉素瘤体内注射治疗肝血管瘤60例临床分析[J]. 介入放射学杂志, 2013, 22: 334 - 336.
[9] Herman P, Costa ML, Machado MA, et al. Management of hepatic hemangiomas: a 14- year experience[J]. J Gastrointest Surg, 2005, 9: 853 - 859.
[10] Algars AS. Type and location of tumor- infiltrating macrophages and lymphatic vessels predict survival of colorectal Cancer patients[J]. Int J Cancer, 2012, 131: 864 - 873.
[11] 于长路, 贾科峰, 王 森. 肝脏门静脉供血型血管瘤介入治疗(附两例报道)[J]. 中华放射学杂志, 2012, 46: 571 - 572.
[12] 独建库, 李冠海, 刘献茹, 等. 海澡酸钠微球栓塞治疗肝血管瘤[J]. 当代医学, 2010, 16: 296 - 297.

相似文献/References:

[1]张 琳,黄学全,王健,等.自主研发电化学治疗同轴电极与传统针式电极电解效应的对比研究[J].介入放射学杂志,2012,(02):148.
 ZHANG Lin,HUANG Xue-quan,WANG Jian,et al.The electrolytic effect in electrochemotherapy: a comparative study between self-prepared coaxial electrode and conventional needle electrode[J].journal interventional radiology,2012,(06):148.
[2]赵 玮,王伟中,陈莹,等.耳部动静脉畸形供血动脉的血管造影研究[J].介入放射学杂志,2012,(02):103.
 ZHAO Wei,WANG Wei-zhong,CHEN Ying,et al.Angiographic findings of the feeding arteries of auricular arteriovenous malformations[J].journal interventional radiology,2012,(06):103.
[3]邹俊民,龙世娟,张振明. 改良髂内动脉化疗联合放疗治疗Ⅲ~Ⅳa期 子宫颈癌32例[J].介入放射学杂志,2012,(02):123.
 ZOU Jun-min,LONG Shi-Juan,ZHANG Zheng-ming..Improved internal iliac artery chemotherapy combined with radiotherapy for the treatment of stage Ⅲ-Ⅳa cervical cancers[J].journal interventional radiology,2012,(06):123.
[4]王昌明,李 选,宋世兵,等.肝门部胆道引流管折叠技术在肝移植后胆道非吻合口狭窄治疗中的应用[J].介入放射学杂志,2012,(02):136.
 WANG Chang-ming,LI Xuan,SONG Shi-bing,et al.The application of biliary catheter folding technique in the treatment of hilar nonanastomotic biliary strictures after orthotopic liver transplantation[J].journal interventional radiology,2012,(06):136.
[5]赵玉峰,孙玉琴,韩晓静,等. 输卵管介入再通术后受孕时机的研究[J].介入放射学杂志,2012,(02):158.
 ZHAO Yu-feng,SUN Yu-qin,HAN Xiao-jing,et al.The optimal time for conception after fallopian tube recanalization therapy[J].journal interventional radiology,2012,(06):158.
[6]含 笑,曹建民,史东宏,等.吉西他滨、顺铂动静脉联合化疗治疗晚期非小细胞肺癌的近期疗效分析[J].介入放射学杂志,2012,(02):119.
 HAN Xiao,CAO Jian-min,SHI Dong-hong,et al.Bronchial artery infusion of Gemcitabine and Cisplatin combined with systemic chemotherapy for advanced non-small cell lung cancer: its short-term efficacy[J].journal interventional radiology,2012,(06):119.
[7]姚雪松,李 槐.不可手术切除的肝细胞癌的疗效评价标准——改良RECIST标准更可靠[J].介入放射学杂志,2012,(03):177.
 . Therapeutic evaluation criterion of inoperable hepatocellular carcinomas: modified RECIST as a more reliable standard[J].journal interventional radiology,2012,(06):177.
[8]齐 立,李慎茂,俸军林,等. 动脉溶栓与机械碎栓联合动脉溶栓的对比分析[J].介入放射学杂志,2012,(03):180.
 ,,et al. Comparison of the therapeutic efficacy between simple arterial thrombolysis and mechanical thrombectomy combined with arterial thrombolysis for acute cerebral infarction at its ultraearly stage[J].journal interventional radiology,2012,(06):180.
[9]石 潆,赵 卫,沈 进,等.脑动静脉畸形栓塞治疗术并发颅内出血的原因及处理[J].介入放射学杂志,2012,(03):185.
 ,,et al.Intracranial hemorrhage due to embolization therapy for cerebral arteriovenous malformation: its causes and management [J].journal interventional radiology,2012,(06):185.
[10]周 慷,李晓光,金征宇,等.清宫术前子宫动脉化疗栓塞术治疗瘢痕妊娠的疗效分析[J].介入放射学杂志,2012,(03):190.
 ,,et al.Therapeutic analysis of bilateral uterine artery chemoembolization performed before uterine dilation and curettage for cesarean scar pregnancy [J].journal interventional radiology,2012,(06):190.
[11]胡清雯,陈 夷. 微波消融治疗肝海绵状血管瘤致并发症分析及其防治[J].介入放射学杂志,2014,(06):500.
 HU Qing- wen,CHEN Yi.. Microwave ablation for the treatment of hepatic cavernous hemangiomas: its serious complications and their prevention and treatment[J].journal interventional radiology,2014,(06):500.

备注/Memo

备注/Memo:
 (收稿日期:2014-01-16)
更新日期/Last Update: